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Minnesota rates for HCPCS J9309

Inj, polatuzumab vedotin 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.66 / $136.66 / $136.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $170.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.11 / $159.62 / $307.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.43 / $138.75 / $143.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.74 / $421.16 / $512.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.58 / $148.75 / $171.74
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.10 / $372.35 / $462.05
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.22 / $135.22 / $141.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.22 / $136.22 / $300.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.22 / $151.65 / $350.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $144.87 / $261.45